A pilot project of integrated health care tested in Hamilton has lent some wisdom to a new report aimed at improving home and community care in Ontario.
The Integrated Comprehensive Care Program (ICC) at St. Joseph's Health System is testing a model of "integrated case management" among health-care providers. Started in the spring of 2012, it pairs patients with a care coordinator — usually a registered nurse — from pre-operation treatments to post-surgical home care.
The program was studied by an expert group examining the province's home and community care and referenced in the group's new report released this month. The group reviewed more than 200 documents, surveyed some 1,100 stakeholders, and interviewed service providers and interested parties. It then made 16 recommendations in its report, titled Bring Care Home.
"Our program has tried to bring together all of the facets of the health-care system, right from our home care division right through our palliative care division," said Kevin Smith, president and CEO of St. Joseph's Health System and one of the experts who authored the report, in an interview on CBC's Metro Morning.
"The patient really only has to reach out to one person in order to access that entire team and fleet of services."
In addition to the care coordinator, the program offers client-centred care, integrated care team, shared electronic health record, simple technology, and access to medical care for post-acute populations.
The new model could reduce the cost of delivering care up to 25 per cent, Smith said. That means more care could be provided with the same resource and more patients could be put through the health-care process.
Click the audio player above to listen to the full interview with Dr. Kevin Smith as he explains the ICC program.
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